HomeMy WebLinkAbout2016-01126 - plumbing . -.. CITY OF ORONO * 2 0 1 6 — PJ 1 1 2 6 *
' 2750 KELLEY PARKWAY DATE ISSUED: 09/15/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3535 IVY PL
PIN : 20-117-23-42-0035
LEGAL DESC : CASCO COVE
: LOT 002 BLOCK 001
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURE
NOTE: WATER SOFTENER
VALUATION OF PLUMBING 525
APPLICANT PLUMBING FIXTURE FEE 50.00
STATE SURCHARGE PLBG(VALUATION) 0.25
CULLIGAN SOFT WATER SERVICE CO. MA[L-IN FEE 2.00
6030 CULLIGAN WAY
MINNETONKA,MN 55345- TOTAL 52.25
(952)912-7379 Payment(s)
CRED[T CARD 5107 52.25
OWNER
BAZIL, PETER& SUSAN
3535 IVY PL
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. •
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Applicant Permitee Signature Date Issued Signature Date
09/15/2016 08:47 F.�X 9529335049 CULLIGAN MNTKA �002
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CITY QF ORONO— PLUMBiNG PERMIT
(A11 Commercial Permits Must be Approved 6y the State Prior to Ciry Approval)
http://www.dli.mn,�ovlCCLDIPDFIve plumbnlanre�rapp.�df,
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GENEF�AL
1. You may apply for piumbing permits by mail or in person at the C�ty offces. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed, PERMITS AR� NOT VALID
UNT1L YOU REGE{VE A PERMIT. WORK MUST NQT BEGtN UNTIL 7H� PERMIT CARD IS
POSTED ON THE JOB S1TE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
rasiding in the dwelling.
4. When any new construction or remodeling is in�olved, a separate building permit must be obtained.
5. All work must be dane in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call (952)249-4600.
(24-�8 hvur notice required)
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�Residential ❑ Gommercia! (Approval Required) [Bac�C�lo�v Device:Q AVB ❑PVB]
�j New ❑Additional ❑ Repairs ❑ Replace
❑ In Accessory Structure?
*You will need prior_ap rp oval and may need CUP_ (Per Orono City Code, Chapter 78, Article I�
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Site Address: � S� 5 �v ��a C-Q
Qwner: �i...Y�,S P��e Y1 Mailing Address:
city: zip: �53 9 I
Home Phone; i J �q �S�3 Alternate Phone:
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Contacfi Perso .
Contracta . .. ,.� ,���T r �i�ani_ en�
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�p3� CULLIGA�I �►A4'
Address: State Bond #:
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(952) 933-7200
City: '"- Zip: Expiration Date:
Phone: Alternate Phone: � - �1�a - �� 1
❑ Insurance—Current:
Page 1
09/15/2016 08:47 FA% 9529335049 CULLIGAN MNTKA f�003
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�194 f ATm�..�
FSXIURE BSMT �sr zNo ()TyER FIX7URE BSMT 1 2ND OTHER
�yp� Floor Floer "fYPE Floor Floor
Water Closet Floor Drains
Lavatory Sewer�jector
Bathtub Laundry Tray
Shower Washer
Kitchen Sink Water Heater
Disposal Water Softener
Dishwasher Wet Bar
Sillcocks Miscellaneous
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1. CONTRAGT PRICE *is 1_25% of contract price with a (Minimum Fee ef$5�.00)
x.D125 $
(contract price) (minimum $50_00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE & HANDLING (Only on Maif-In Appiications) $ 2.00
e}. TOTA� PERM17 FEE(Add Lines 1-3 Above) � �a ' �
* GONTRAC7 PR10E or JOB COST means the actual or estimated dollar amount charged for the
permitted work including mafierials, labor, profit, and other fixed costs. It is the amaunt to be charged fo
the customer for the work done. If any material, equiprnent, {abor or installations are furnished by the
pwner, tenant or any other party, the reason�ble market value of such items must be added to the
estimated cost or contract price for permit fee purposes. (n.the event that there is � dispute on the
amount of the job cost, the Gity may request the submission of a signed copy of the actual corrtract.
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7he undersigned heceby applies to the City for issuance of a Plumbing Permit, agrees to do all work in
strict accardance with the ordinances of the City and the regulations of the State of Minnesota, 2nd
certifies that all statements made on this application are complete, true and correct.
Applicant's Signature: pa�e' �- 'S r �]°
Building Off'icial!Inspector. Date:
Pe�z
-�- � � ��,�-'
� DATE TIME "
CITY OF ORONO cnLLED IN ' / /
INSPECTION TICE SCHEDULED l�zza�i b /�
PERMR NO. � � COMPLET D
ADDRESS 5
�NNER � L ONE NO.��L Z��j -0(P/ '
CONTRACTOR
�� DESCRIPTION �
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINf3
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT
� �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINOUCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS�
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� ❑WORK SATISFACTORY:PROCEED ��ECT COMPLE�E
W ❑CORRECT YMORK 3 PROCEED O ISSU CERTIFICATE OF OC(X1P11NCY
0 ❑CORRECT YMORK,CALL FOR REINSPECTION TEMPOFtARY
V BEFOREOOVERINti PERMANBdT
�CORRECTUNSAFECONW'T10N WITHIN HWRS. p pHpTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDE1i POSTED.CALL INSPECTOR ❑aTAT10N ISSUED
O INSPECTION REWIRED.CALL TO ARRAN(3E ACCESS.
csM tor u�e next inspectton 2a hours in adnanoe- (952) 249-4600
on site:
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Mlhit�CopyAnapectora FlN Can�ry Cop�rISM�Notlw